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General NPI Number Information
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NPI Number | 1821109257
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Entity Type | Individual
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Provider Name | ANKE HORACEK MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/28/2019
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Provider Practice Location Address
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Address Line | 8303 DODGE ST
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City | OMAHA
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State | NE
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Zip | 68114-4108
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Country | US
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Telephone | 402-354-4424
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Fax | 402-354-4435
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Provider Business Mailing Address
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Address Line | PO BOX 2797
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City | OMAHA
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State | NE
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Zip | 68103-2797
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Country | US
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Telephone | 402-354-4230
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Fax | 402-354-6171
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 22897
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License Number State | NE
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